Prevalence of Cervical Spondylolisthesis in the Sagittal Plane Using Radiographic Imaging in a Pediatric Population: A Cross Sectional Analysis of Vertebral Subluxation
Conclusion: CS in pediatric populations is under-studied. CS is present in children and adolescents with and without symptoms. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - June 30, 2021 Category: Radiology Source Type: research
" Flip-Flop Phenomenon " - Magnetic Resonance Imaging Pitfall: A Case Report
A 66-year-old cachectic female with underlying anorexia nervosa and lower limb weakness was referred for a spinal Magnetic Resonance Imaging. Imaging appearances were initially thought to represent underlying systemic pathology involving bone marrow or inadvertent wrong selection of imaging sequences. It was, however, established that unique imaging appearances are secondary to ' Flip-Flop ' phenomenon owing to underlying nutritional status of the patient. ' Flip-Flop ' phenomenon on the Magnetic Resonance Imaging is result of an underlying pathological process of serous atrophy of bone marrow. Appreciation and recognition...
Source: Journal of Radiology Case Reports - June 20, 2021 Category: Radiology Source Type: research
Takotsubo Cardiomyopathy: Role of Cardiac MRI
We present a case of Takotsubo Cardiomyopathy (TC) which is a non ischemic cardiomyopathy. It is stress related and also known as broken heart syndrome. The patient presented to our emergency department with symptoms of chest pain and breathlessness. The patient was diagnosed as acute coronary syndrome and various tests including ECG, Screening ECHO, Coronary CT and Cardiac Magnetic Resonance (CMR) were done before arriving at the diagnosis of TC. Currently CMR is the modality of choice as it detects the wall motion abnormalities (WMA), presence of wall edema and late gadolinium enhancement (LGE) characteristics can be wel...
Source: Journal of Radiology Case Reports - June 20, 2021 Category: Radiology Source Type: research
IgG4 aortitis of the ascending thoracic aorta: A case report and literature review
IgG4 aortitis is a recently recognized entity that can have clinical and imaging features that mimic acute aortic syndrome. Therefore, it is imperative for radiologists to be aware of how to potentially differentiate the two. Although this entity has been previously described via case reports and meta-analysis in the context of inflammatory abdominal aortic aneurysm, very few cases of ascending aortic involvement have been reported. In this case report, we present a case of a 60-year-old female transferred from another facility for an initial diagnosis of intramural hematoma of the ascending aorta and later found to have I...
Source: Journal of Radiology Case Reports - May 30, 2021 Category: Radiology Source Type: research
Fibrodysplasia ossificans progressiva (FOP) presenting as a rapidly growing non-calcified neck mass
We report a 62-year-old female with a 3-week history of a rapidly enlarging left neck mass with no associated symptoms. A neck CT showed a ~10 cm solid-appearing non-calcified left neck mass that markedly decreased in size on a one-month follow-up neck MRI, but with new extensive edema/intense enhancement in floor of the mouth. Prior radiographs documented hallux valgus and heterotopic ossification of the psoas/paraspinal muscles and shoulder girdle. In this case of FOP, no intervention was implemented and the symptoms improved over time and thus paralleled other such cases for flare-ups. Clinicians should be aware of this...
Source: Journal of Radiology Case Reports - May 23, 2021 Category: Radiology Source Type: research
Internal auditory canal hypoplasia associated with bilateral vestibulocochlear nerve aplasia and deviant facial nerve course: A case report and MRI findings
This report raises the importance of identifying this rare malformation for appropriate management and reinforces awareness of possible complications. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - May 23, 2021 Category: Radiology Source Type: research
Acute soft head syndrome in a sickle cell disease patient
We present a 16-year old male patient known to have sickle cell anemia who presented to our emergency department with low grade fever, headache, skull pain and swelling. Magnetic Resonance of the brain was done demonstrating subgaleal collections overlying calvarial signal abnormalities. The combination of clinical and radiological findings were indicative of acute soft head syndrome. Acute soft head syndrome is a rare complication in children with sickle cell anemia and the pathophysiology is related to osteonecrosis and bone infarcts of the calvarium as well as secondary reactive sub-galeal collections. Treatment include...
Source: Journal of Radiology Case Reports - April 30, 2021 Category: Radiology Source Type: research
Prevention of Pulmonary Cement Embolism by Inferior Vena Cava Filter following Vertebroplasty-related Cement Intravasation
A 77 year old woman with recent history of vertebroplasty for treatment of multiple osteoporotic lumbar vertebral body compression fractures presented for post-procedure care. A series of radiographs and cross-sectional imaging of the lumbar spine revealed an unexpected finding of cured bone cement within a small lumbar vertebral vein, the inferior vena cava and within the spokes of an inferior vena cava filter which had originally been placed two years earlier. Inferior vena cava filters have become the standard of care to prevent pulmonary embolism in the setting of deep venous thrombosis. However, cases of foreign mater...
Source: Journal of Radiology Case Reports - April 24, 2021 Category: Radiology Source Type: research
Unusual Presentation of Widely Metastatic Extraskeletal Osteosarcoma: Case Report
We report the case of a 46-year-old female with no significant past medical history presenting to an emergency department with a right lateral thigh mass following minor trauma. She was eventually found to have high grade extraskeletal osteosarcoma with rapid progression of disease resulting in patient demise. Differentiation of these lesions from alternative processes relies on specific imaging and pathologic features. Differential diagnoses include both benign and malignant etiologies such as myositis ossificans, soft tissue hemangiomas, and other malignant soft tissue neoplasms such as epithelial and synovial sarcoma. (...
Source: Journal of Radiology Case Reports - April 24, 2021 Category: Radiology Source Type: research
The CT guided transoral approach: A biopsy technique for a poorly differentiated chordoma in a 5 year old
We describe a technique of computed tomography guided transoral biopsy of a poorly differentiated chordoma located at the C1-C2 level in a 5-year-old child, and review this diagnosis. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - March 31, 2021 Category: Radiology Source Type: research
Periprostatic schwannoma mimicking metastatic lymphadenopathy in a case of multifocal prostate adenocarcinoma
We present a case of sporadic periprostatic schwannoma diagnosed in conjunction with multifocal prostate adenocarcinoma on pre-operative multiparametric magnetic resonance imaging. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - March 23, 2021 Category: Radiology Source Type: research
The role of whole-Body fluorine-18-fluorodeoxyglucose positron emission tomography in staging and surveillance of mucosa-associated lymphoid tissue
We present the case of a 79-year-old male, who was initially treated for mucosa-associated lymphoid tissue lymphoma (MALT lymphoma) of the right eyelid, and later for disease relapse in the stomach. During follow up, he was noted to have developed left arm nodules just medial to the proximal biceps muscle, which were found to be multiply enlarged lymph nodes on subsequent ultrasound imaging. Excisional biopsy of these nodes revealed MALT lymphoma. He was initially referred for consideration of radiation, but a restaging F-18 fluorodeoxyglucose positron emission tomography integrated with computed tomography (F-18 FDG PET/C...
Source: Journal of Radiology Case Reports - March 23, 2021 Category: Radiology Source Type: research
Vigabatrin-associated Reversible MRI Abnormalities in an Infant with Tuberous Sclerosis
We present a case with classic neuroimaging findings. Familiarity with these findings can prevent unnecessary follow up tests or studies and the cost of continuing or discontinuing vigabatrin therapy should be weighed heavily against the potential manifestation of extrapyramidal symptoms. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - February 28, 2021 Category: Radiology Source Type: research
Acute Hemorrhagic Cholecystitis with Large Hemoperitoneum: Treatment with Microcoil Embolization and Subsequent Cholecystectomy
We report two cases of hemorrhagic cholecystitis with arteriographic findings of cystic artery pseudoaneurysms that were successfully embolized using microcoils, facilitating subsequent cholecystectomy. Both cases had unusual presentations of gallbladder rupture with hemoperitoneum, the latter of which was atypical occurring in the absence of gallstones. We believe when hemorrhagic cholecystitis is suspected, a two-step therapeutic approach should be employed with embolization of the bleeding cystic artery followed by cholecystectomy. A comprehensive literature review and discussion of hemorrhagic cholecystitis will be pro...
Source: Journal of Radiology Case Reports - February 20, 2021 Category: Radiology Source Type: research
Post-operative imaging surveillance of breast cancer patients status post lumpectomy with BioZorb implant placement
The evolving nature of newer surgical techniques and devices adds to the challenge of interpreting breast imaging in the post lumpectomy setting. The BioZorb surgical marker placed at lumpectomy sites for post-operative radiation targeting has its own distinct imaging appearance on each modality. Determining the expected follow-up imaging findings unique to this relatively new device is an ongoing endeavor with literature currently lacking on this topic. The following series of cases of post BioZorb breast surveillance are the first reported in the literature to provide examples of developing asymmetries and new or enlargi...
Source: Journal of Radiology Case Reports - February 20, 2021 Category: Radiology Source Type: research
